Treatment of Radial Artery Occlusions Using Balloon Angioplasty and Localized Intra‐Arterial Abciximab

Jaradat, Z.; Basir, Babar; Revtyak, George

doi:10.1111/joic.12099

Cited by 10 publications

(7 citation statements)

References 11 publications

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“…Arterial catheters also have been associated with temporary occlusion of the artery, hematoma formation, thrombosis, damage to nearby nerves, and local or systemic infection . Surgical intervention for patients developing ischemic or nonischemic complications may involve thrombectomy and revascularization or management of deep abscesses or amputation, and less invasive recanalization procedures include topical application of a vasodilator (lidocaine, nitroglycerine), aspiration of the thrombus at the catheter tip, intrathrombus injections of a thrombolytic agent, balloon valvoplasty, or systemic anticoagulation …”

Section: Introductionmentioning

confidence: 99%

A survey of the use of arterial catheters in anesthetized dogs and cats: 267 cases

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Hofmeister

Quandt

et al. 2016

J Vet Emergen Crit Care

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Arterial catheterization resulted in loss of a peripheral pulse postoperatively in 21/94 (22.3%) of animals examined, although no evidence of tissue ischemia was noted in the medical records of any of the patients in this study. These results suggest that insertion of a catheter in the dorsal pedal or coccygeal arteries was not associated with a high risk for complications. However, the course of arterial occlusion postoperatively warrants further investigation.

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Section: Introductionmentioning

confidence: 99%

A survey of the use of arterial catheters in anesthetized dogs and cats: 267 cases

Trim

Hofmeister

Quandt

et al. 2016

J Vet Emergen Crit Care

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“…Systemic anticoagulation, intra-arterial verapamil, and balloon angioplasty with localized abciximab or low molecular weight dextran are the first-line therapies for patients without bleeding risks. However, the effect of these therapies is limited when angiographic intervention is unsuccessful [ 10 , 11 ]. Invasive angiography can visualize the injured vessels directly and provide a vehicle for the direct injection of vasodilatory agents to the site.…”

Section: Discussionmentioning

confidence: 99%

Finger necrosis after accidental radial artery puncture

et al. 2014

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Radial artery puncture, an invasive procedure, is frequently used for critical patients. Although considered safe, severe complications such as finger necrosis can occur. Herein, we review the clinical course of finger necrosis after accidental radial artery puncture. A 63-year-old woman visited the emergency department (ED) with left second and third finger pain after undergoing intravenous (IV) access in her wrist for procedural sedation. During the IV access, she experienced wrist pain, which increased during the 12 hours prior to her ED presentation. Emergency angiography revealed a pseudoaneurysm in her left radial artery and absence of blood flow to the proper palmar digital artery. Subsequent angiointervention and urokinase thrombolysis failed. The second finger was eventually amputated owing to gangrene. Radial artery puncture can occur accidentally during IV wrist access, resulting in severe morbidity. Providers should carefully examine the puncture site and collateral flow, followed by multiple examinations to ensure distal circulation.

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“…Also, when these patients with RAO were treated with compression of the homolateral ulnar artery for 60 min, the incidence of RAO was reduced from 5.9% to 4.1% and 2.9% to 0.8% ( p = 0.03) in the low-dose and high-dose heparin group, respectively 50 . In 2014, Jaradat et al showed successful treatment of RAO with balloon angioplasty and a 90-s intra-thrombus infusion of abciximab 51 …”

Section: Consensus Recommendations From Access Radial™ Advisory Boardmentioning

confidence: 99%

Transradial access for coronary diagnostic and interventional procedures: Consensus statement and recommendations for India

Goel

Menon

Mullasari

et al. 2018

Indian Heart Journal

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Radial access for cardiac catheterization and intervention in India has been growing steadily over the last decade with favorable clinical outcomes. However, its usage by interventional cardiologists varies greatly among Indian operators and hospitals due to large geographic disparities in health care delivery systems and practice patterns. It also remains unclear whether the advantages, as well as limitations of transradial (TR) intervention (as reported in the western literature), are applicable to developing countries like India or not. An evidence-based review involving various facets of radial procedure for cardiac catheterization, including practical, patient-related and technical issues was conducted by an expert committee that formed a part of Advancing Complex CoronariES Sciences through TransRADIAL intervention (ACCESS RADIAL™) Advisory Board. Emerging challenges in redefining TR management based on evidence supporting practices were discussed to formulate these final recommendations through consensus.

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Treatment of Radial Artery Occlusions Using Balloon Angioplasty and Localized Intra‐Arterial Abciximab

Cited by 10 publications

References 11 publications

A survey of the use of arterial catheters in anesthetized dogs and cats: 267 cases

A survey of the use of arterial catheters in anesthetized dogs and cats: 267 cases

Finger necrosis after accidental radial artery puncture

Transradial access for coronary diagnostic and interventional procedures: Consensus statement and recommendations for India

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